MEDICARE: SIOUX FALLS SPECIALTY HOSPITAL, LLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	284300000X	Special Hospital	10583	SD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	1316946809	OTHER		MEDICAL MUTUAL INSURANCE
3	F26431	OTHER		AMERICA'S PPO ARAZ
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	5Z72HSI	OTHER	MN	BLUE CROSS OF MINNESOTA
6	F228752	OTHER		MIDLANDS CHOICE
7	030920251	OTHER		PRIMEWEST
8	142422800	OTHER		US DEPT OF LABOR
9	149553CF	OTHER		PREFERRED CARE
10	57105	OTHER		TRICARE WEST
11	300845	OTHER		UCARE
12	01013115	OTHER		PREFERRED ONE
13	80090	OTHER	SD	BLUE CROSS BLUE SHIELD
14	18599	OTHER		HEALTH PARTNERS
15	27418	OTHER		SANFORD HEALTH PLAN
16	5000213	OTHER		MEDICA
17	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1316946809
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SIOUX FALLS SPECIALTY HOSPITAL, LLP

Provider Business Mailing Address
First Line	:	910 E 20TH ST
Second Line	:
City	:	SIOUX FALLS
State	:	SD
Zip	:	57105-1012
Country	:	US
Telephone Number	:	605-334-6730
Fax Number	:	605-334-8096

Provider Business Practice Location Address
First Line	:	910 E 20TH ST
Second Line	:
City	:	SIOUX FALLS
State	:	SD
Zip	:	57105-1012
Country	:	US
Telephone Number	:	605-334-6730
Fax Number	:	605-334-8096

Authorized Official
Title or Position	:	CEO
Name	:	DR. RICHARD BLAKE CURD
Credential	:	MD
Telephone Number	:	605-334-6730

Provider Enumeration Date	:	07/18/2005
Last Update Date	:	07/30/2015

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